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HomeMy WebLinkAbout01-1102 PARTIES DE BTOR name (Last name first if Individual) and mailing address: ULRICH, KAREN° J 1702 FAIRMONT DRIVE MECHANICSBURG, PA 17055 DE ETOR name (Last name first if ]ndivldu;,I)and mailing address: FINANCING STATEMENT UNIFORM COMMERCIAL CODE FORM UCC-1 FILING NO. (stamped by filing DATE, TIME, FILING OFFICE (stimped by f Iling officer) ASSURED GROWTH INDUSTRIES 1702 FAIRMONT DRIVE MECHANICSBURG, PA 17055 2730 Liberty Ave Pitt.~bur¢. PA 15222 ASSIGNEE(S) O~ SECURED PARTY name(s)(last name fk-st If Individual} and This FINANCING STATEMENT is presented for filing pur suar'G,t0 the Untf~m ID~-ft me rr. JEC bde~an d is to be flle~ with the (check ~ppl~bie box~ C~TER~ All Inventor, Ch~fl~ Paper, ~oun~, Equipment and General In~ngib~; whet~ any of the for~ng is owned now ~ acquired Islet; ail scions, eddi~ons, repla~men~, and substitutions relsling to any of the for~oing; ell r~ords of any kind raising to any of the for~ng; all Dr~ds relating to any of (i~luding insurance, general intangibles and oth~ a~oun~ prods).. 2a SP.~.C~A L TYPES OF PARTIES (Check if applicable): I I The terms 'Debtor' and "Secured Party' mean 'Lessee' and 'Lessor" I I respec ye y. The terms 'DePtor' ~nd 'Secureq Party' mean "Consignee' and · Consignor', respectively. SECURED PARTY SIGNATURE(S) ] when the COLLATERAL WAS MOVE D to Pennsylvania. ] when the DEBTOR'S RESIDENCE OR PLACE OF BUSINESS WAS MOVE D to Pennsylvania. [] which is PROCEEDS of the collateral described In blOCk 9, in proceeqs In blOCk g, if purchued with cash proceeds and not aqequately describeq on the original nn;~nclni~ statement}. ] (check only If deCred) ProdUCts Of t he collater;.I are also covered. g ICENTIFY RELATE D REAL ESTATE, if applicable. The collateral Is, or includes (check approprlat e box(es))-- a. [] CROPS~rowlngortobeFownon-- b. [] goods which are to become EIXTURE on-- c. [] MINERALSorthellke(Int:ludlngolland~s)asextractedon-- d. [] ACOOUNTSRESULTINDFROMTHESALEOFMINERALSortheHke(Includ~ngoIlandgaS) ;~t the wellhead ~' mlneheaq on -- the following rea. I estate: STREET AD DRESS: DESCRIBE AT: Book __ of (check one) LJ Deeds LJ MortG. tgee, at Page(s) for County. Uniform Parcel Identifier DEBTOR SIGNATURE(S) D e P t,~' Signet ur e(s): ,r SECURED PARTY SIGNATURE(S): (required only If box(.) Is checked above): 't STANDARD FORM - FORM UCC-1 (749) Approved by the Secretary of the Commonwealth of Pennsylvania BETU' . PNC Bari N.A. 2730 Liberty Ave Pittsburgh PA 15222 FILING OFFICE ACKNOWLEDGEMENT - County only. NOTE - This_ps.g/e will not be returned hy the Department of State.